Spiritual Conversation 2019-20
Registration Form
Please return as soon as possible, however those seeking financial assistance should return it by June 10th 2019, to allow time to apply for a grant.
Title
Christian Name *
Your answer
Surname *
Your answer
Address (inc Postcode) *
Your answer
Email Address *
Your answer
Mobile / Contact number *
Your answer
Do you have any special needs or medical conditions? (mobility, hearing, allergies etc)
e.g do you need to use our loop system if you are hard of hearing, or do you require disabled parking required etc
Please give us brief details of medical condition, special needs or assistance required
Your answer
The following information would be helpful...
Answering these next few questions is optional, but the information helps us with our future planning. Thank you, if you choose to answer them.
Denomination / Church Tradition
Occupation / Voluntary Work / Ministry
Your answer
What is your date of birth?
MM
/
DD
/
YYYY
How did you hear about the course?
Some information about you and why you want to do the course
Have you completed “Growth in Prayer and Reflective Living,” a similar course or Spiritual Exercises? *
You can tick more than one box
Required
Have you followed any other courses which are relevant to Spiritual Conversation? *
Please give brief details ...
Your answer
Are you receiving, or have you ever received, spiritual direction/accompaniment? *
If Yes, how do / did you find the experience?
Your answer
What form does your present practice of prayer take? *
Your answer
What is the best single piece of advice about prayer given to you?
Your answer
Have you experienced an individually guided retreat or any other type of retreat? *
If yes, then please tell us how you found it?
Your answer
What is your experience of helping others in prayer or accompanying people in their journey of faith? *
Your answer
What gifts and skills do you bring to this course? *
Your answer
What do you hope to gain from this course? *
Your answer
References
Please give the details of two referees to support your application. These should be people who know you well, at least one of whom should be familiar with spiritual accompaniment in the Christian tradition.

Please let your referees know that we will email them with a reference form and ask them to complete it as soon as they can.

Once we receive your application and two references from people who know you we will then write to you (by email) to let you know if your application has been approved.

Referee 1 *
Please give, name, email address or contact details and their relationship to you
Your answer
Referee 2 *
Please give, name, email address or contact details and their relationship to you
Your answer
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